Management of Severe and/or Refractory Epistaxis

García-Cabo, Patricia; Fernández-Vañes, Laura; Pedregal, Daniel; Castro, Marta Menéndez del; Murías, Eduardo; Vega, Pedro; Llorente, José Luís; Rodrigo, Juan P.; López, Fernando Fernández

doi:10.1016/j.otoeng.2018.02.004

Cited by 2 publications

(3 citation statements)

References 19 publications

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“…En las epistaxis anteriores, el sangrado suele originarse de la porción anterior del septum nasal, más comúnmente originadas por lesión en el plexo de Kiesselbach. Este plexo deriva de la anastomosis de ramas correspondientes a los sistemas de la arteria carótida interna (arterias etmoidales anteriores y posteriores) y arteria carótida externa (esfenopalatina, ramas palatinas y la arteria labial superior) (8,10,11). Las paredes laterales nasales y porción posterior del septum nasal recibe su irrigación principalmente de la arteria esfenopalatina y ramas terminales de la arteria maxilar, las cuales generalmente originan las epistaxis posteriores (10,12).…”

Section: Anatomíaunclassified

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Epistaxis: abordaje inicial en el servicio de emergencias

2020

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La epistaxis es una hemorragia originada de la cavidad nasal y representa una de las urgencias otorrinolaringológicas más frecuentes a la que se enfrentan los médicos en los servicios de emergencias. Aunque a menudo su presentación es benigna, el sangrado nasal puede comprometer rápidamente el pronóstico vital, debido a su recurrencia o abundancia. Su etiología puede ser local o sistémica, no obstante, en la mayoría de casos la causa de la epistaxis permanece idiopática. Un abordaje exitoso por parte del profesional de la salud requiere el conocimiento del mismo sobre la anatomía nasal, riesgos potenciales y complicaciones de sus tratamientos. El manejo de la epistaxis con frecuencia es demandante y debe ser oportuno con medidas iniciales de resucitación, terapia de compresión nasal, cauterización e incluso puede ameritar resolución quirúrgica en sala de operaciones.

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Section: Anatomíaunclassified

“…Las causas sistémicas engloban tanto las hematológicas, hepáticas, renales, genéticas y enfermedades cardiovasculares (2,3,8,10). No obstante, en la mayoría de casos la causa de la epistaxis permanece idiopática (5,11).…”

Section: Etiologíaunclassified

Epistaxis: abordaje inicial en el servicio de emergencias

2020

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“…[ 3 ] Particularly, recurrent intractable epistaxis often poses challenges due to its concealed bleeding sites and significant blood loss, making it difficult to detect and control. [ 3 , 4 ] The etiology of epistaxis includes nasal disorders, local anatomical abnormalities, and certain systemic diseases. It can be triggered by both systemic and local factors.…”

Section: Introductionmentioning

confidence: 99%

Case report of recurrent epistaxis caused by a live leech in the nasal cavity

Yang,

Liu,

Zhang

et al. 2024

Medicine

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Rationale: Epistaxis is one of the common emergencies in otolaryngology. There are many causes of epistaxis, but reports of epistaxis due to nasal foreign bodies like leeches are rare. Patient concerns: A 55-year-old male presented with “repeated epistaxis for over 20 days.” Nasal endoscopy revealed a live leech in the olfactory area of the left nostril. Diagnoses: The patient was diagnosed with epistaxis caused by a live leech in the nasal cavity. Interventions: Under nasal endoscopy, the leech was grasped with a vascular clamp and removed from the nasal cavity. The leech measured 8 cm in length. Hemostasis was achieved using a gelatin sponge at the wound site, and the nasal cavity was packed with Vaseline gauze. Outcomes: The live leech was removed via nasal endoscopy. Two days later, the Vaseline gauze packing was removed, and the patient experienced no further nasal bleeding. Conclusion: Live leeches in the nasal cavity can cause epistaxis. Nasal endoscopic removal of the live leech is an effective treatment. Lesson: There are many causes of epistaxis, which are nonspecific and prone to missed or incorrect diagnosis. In patients with a history of fieldwork or direct contact with leeches who present with recurrent nasal bleeding, the possibility of epistaxis caused by a live leech should be considered, and timely and effective treatment should be provided.

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Management of Severe and/or Refractory Epistaxis

Cited by 2 publications

References 19 publications

Epistaxis: abordaje inicial en el servicio de emergencias

Epistaxis: abordaje inicial en el servicio de emergencias

Case report of recurrent epistaxis caused by a live leech in the nasal cavity

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